Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prathapraju Poloju

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902258171

Prathapraju Poloju is an Internal Medicine in Flint, Michigan. Qualified in 2015, 11 years ago. Practices with Central Louisiana Physicians, LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
11
Licensed in
LA, MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone: (810) 342-2000
Fax: (810) 342-1591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 320940 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301110700 (MI)

Record details

NPI number1902258171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019
Mailing address401 S Ballenger Hwy, Flint, MI 48532-3638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Louisiana Physicians, Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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